Physical and Social Participation Factors Impacting Quality of Life in Ambulatory Children and Adolescents With Cerebral Palsy
Bibliographic record
Abstract
K. Kolaski, None. To examine the relative contributions of physical characteristics, specifically body mass index (BMI) and severity of motor function (GMFCS level), and social participation to quality of life (QoL) in ambulatory children and adolescents with cerebral palsy (CP). 5 clinic sites in the U.S. and Canada. N=112 (68 M, 44 F) aged 6-17 years with CP whose motor function was rated level I-III with the Gross Motor Functional Classification System (GMFCS). Weight, height, GMFCS level, social participation, and QoL were obtained. Gender- and age-specific BMI percentiles were calculated and categorized as underweight, healthy weight, overweight, or obese using CDC parameters. Participation was measured from 2 questions that estimated the frequency of time spent with friends or in group activities. QoL was measured with the KIDSCREEN-10, a well-validated generic measure of well being that is independent of functioning and management of symptoms. The contribution of physical (BMI, GMFCS) and social (participation) factors on QoL was tested in hierarchical linear regression models. Gender (M:F = 1.5:1) and race/ethnicity were similar to published reports on CP and U.S. Census Bureau statistics. Participants in the 3 GMFCS levels did not differ by age (mean 10.8±3.6 years), gender, race/ethnicity, socioeconomic status, BMI percentile, participation, or QoL. Approximately 30% of the participants were overweight or obese (>85th percentile) based on gender and age norms for typically developing children. BMI and participation contributed significantly to QoL in separate regression models, and maintained their statistically significant independent contributions to QoL when both were in the same regression model that included GMFCS. In this study group, a healthy weight (BMI percentile) and participation both contributed to an enhanced QoL. In contrast, extent of the participants' motor abilities had no impact on their QoL. Further research is underway to examine selected components of physical fitness, to explore their relationship with BMI and to inform interventional strategies and physical fitness goals for children and adolescents with CP.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".